Advantage Counseling Service, Inc
Organization Active NPI Community/Behavioral Health Agency · Duluth, GA
NPI 1568532166 · NPPES record last updated Jun 18, 2012
Key facts
- NPI
- 1568532166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVANTAGE COUNSELING SERVICE, INC
- Practice address
- 2180 Satellite Blvd Ste 400
Duluth, GA 30097-4927 - Phone
- (770) 471-0033
- Fax
- (770) 471-4639
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Roy Ridley
- Title
- Ceo
- Phone
- (770) 471-0033
Practitioners 2
-
Elizabeth Ann Hayford, LCSW
National Provider Directory
Locations
1299 Battlecreek Rd
Ste 100
Jonesboro, GA 30236
Phone (770) 471-0033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2180 Satellite Blvd Ste 400
Duluth, GA 30097-4927
Mailing address
2180 Satellite Blvd Ste 400
Duluth, GA 30097-4927
Phone (770) 471-0033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327206642A | Medicaid | GA |
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All providers in Duluth, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.